Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A104381 | CA |
NPI | 1093959108 |
---|---|
Provider Name | Dr. Vikram Udani |
First Address | Rancho Santa Fe, CA 92067-2381 |
Second Address | San Diego, CA 92121-1334 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2009 |
Last Update Date | 26/03/2021 |